title: Counseling strategies for blood cholesterol screening programs: recommendations for practice.
abstract: Blood cholesterol screening programs offer an important venue for nutrition counseling aimed at lowering blood cholesterol levels. This paper presents a screening, counseling and referral protocol that has been developed by the Pawtucket Heart Health Program (PHHP). A review of general considerations for counseling strategies in the screening context highlights the necessity for brief, focused, behaviorially oriented tactics. The PHHP Summary and Referral protocol includes a review of multiple risk factors for heart disease, a discussion of blood cholesterol levels, recommendations for eating pattern changes based on response to a food frequency questionnaire, and a final summary and referral as needed. The training of lay volunteers and health professionals in delivery of the program is also reviewed.
authors.forename: R C
authors.initials: RC
authors.lastname: Lefebvre
authors.forename: L
authors.initials: L
authors.lastname: Linnan
authors.forename: S
authors.initials: S
authors.lastname: Sundaram
authors.forename: A
authors.initials: A
authors.lastname: Ronan
mesh_terms: D000328:Adult; D002985:Clinical Protocols / Q000592:standards*; D003376:Counseling / Q000592:standards*; D006305:Health Status Indicators; D006801:Humans; D006937:Hypercholesterolemia / Q000517:prevention & control*; D008403:Mass Screening / Q000592:standards; D052756:Nutritional Sciences / Q000193:education*; D012017:Referral and Consultation